Tooth root tip surgery, which is also called apicotomy, is a treatment method in dentistry that is used to solve problems that occur at the end of the tooth root. This surgery is performed when root canal treatment (nerve extraction) has been completed, but there are still problems such as infection, cysts, or inflammation at the tip of the root. In this method, the dentist surgically cleans the tip of the gum root in the gum area. When do we need root tip surgery? Root tip surgery is necessary when other treatment methods cannot solve the tooth problem or when previous treatments have not been successful. This surgery is usually performed under certain conditions, which we will discuss below. - Previous root canal treatment did not work: Sometimes root canal treatment or nerve extraction may have been done before, but the tooth still gets infected or inflamed. In such cases, endodontic surgery may be necessary to eliminate the infection in the area of ​​the root canal. In this case, endodontic surgery will help you eliminate the infection.. Instead of pulling it: If conventional treatments cannot solve the tooth problem and the tooth is prone to pulling out, endodontic surgery can be a way to save the tooth and prevent it from being pulled out... Root tip surgery methods In this section, we will review the steps of root tip surgery: - Initial consultation and examination: Before starting the surgery, the dentist or gum surgeon will carefully examine your teeth and usually use x-rays to better visualize the problem. - Anesthesia of the treatment area: before the surgery, the dentist numbs the area around the tooth so that you do not feel pain. To access the tooth, the dentist makes a small incision in the root of the gum. This incision is usually in a place where there is less damage to the surrounding tissues and it is easier to access the root.